PHYLLIS L SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041265552

License Status

NOT RENEWED

Business

First Name

PHYLLIS L

Last Name

SMITH

Business Name

PHYLLIS L SMITH

Original Issue Date

09/30/1991

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

08/16/2010